A case of recurrent massive genital prolapse and urinary stress incontinenc
e is reported following sacrospinous ligament fixation with anterior and po
sterior colporrhaphy, Abdominal colposacropexy with Burch colposuspension w
as applied to relieve symptoms, restore the physiologic vaginal axis, maint
ain sexual function, and restore urinary continence, Shortterm follow-up re
vealed that abdominal colposacropexy for preservation of the uterus in this
case yielded good results.